45D1029961 CLIA NUMBER - DEBRA KRIEG, MD, PA

Laboratory Demographics

  • CLIA Code: 45D1029961
  • Facility Name: DEBRA KRIEG, MD, PA
  • Facility Address: 10840 TEXAS HEALTH TRL SUITE 240
    FORT WORTH, TX
    ZIP 76244
  • Facility Phone: 817 491-0223
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEBRA P. KREIG
  • NPI Number: 1750373106
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1029961
LAB Type Physician Office
Facility Name DEBRA KRIEG, MD, PA
Street 10840 TEXAS HEALTH TRL SUITE 240
City FORT WORTH
State TX
ZIP 76244
Phone 817 491-0223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Physician Office
Lab Director DEBRA P. KREIG

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This page was last updated on: 9/29/2025